摘要
目的探讨持续性护理对乳腺癌患者术后生活质量的影响。方法将60例乳腺癌患者按随机数字表法随机分为观察组和对照组各30例，两组患者住院期间采用相同护理方法，对照组出院时实行常规宣教，观察组出院后实施持续性护理。采用生活质量测定量表（WHOQOL—BREE）比较两组患者出院1年后的生活质量评分。结果出院前两组患者WHOQOL—BREE评分比较，差异均无统计学意义（P〉0．05）；出院1年后观察组患者生存质量自评、健康状况自评、生理领域、心理领域、社会关系领域得分分别为（3．70±0．75），（3．77±0．68），（10．17±0．91），（17．43±1．25），（11．20±1．38）分，分别高于对照组的（2．80±0．55），（2．73±0．74），（8．43±1．04），（13．53±1．57），（9．43±1．30）分，差异均有统计学意义（t分别为5．299，5．637，6．861，10．642，5．106；P〈0．01）。结论在乳腺癌患者术后实施持续性护理有助于促进乳腺癌患者术后患侧肢体功能恢复，帮助患者出院后建立良好的社会支持，对提高乳腺癌患者术后的生活质量具有重要意义。
Objective To study the effect of continuous nursing on the quality of life in breast cancer patients after surgery. Methods Totals of 60 cases of breast cancer patients were randomly divided into two groups, the experimental group （30 cases） and the control group （30 cases）. Patients of each group received the same nursing care during hospitalization, and the experimental group accepted the continuous nursing after discharge while the control group only received routine education. WHOQOL-BREE was used to compare the quality of life of two groups a year after discharge. Results There was no statistically significant difference of WHOQOL-BREE score between two groups before discharge （ P 〉 0.05）. A year after discharge, however, the score of life quality, health condition, physiology, psychology and social function was respectively （3.70 ± 0.75 ）, （ 3.77 ±0.68 ）, （ 10. 17 ± 0.91 ）, （ 17.43± 1.25 ） , （ 11.20 ± 1.38 ） in the experimental group, and （2.80±0. 55 ）, （2.73 ±0. 74）, （ 8.43 ±1.04 ）, （ 13.53 ± 1.57 ）, （ 9.43 ± 1.30 ） in the control group, and the differences were statistically significant （ t = 5. 299,5. 637,6. 861,10.642,5. 106, respectively; P 〈 0. 01 ）. Conclusions Continuous nursing can help promote patients＇ recovery of the side limbs function after surgery and help them build better social support, thus is important in improving breast cancer patients＇ quality of life after surgery.
出处
《中华现代护理杂志》
2013年第11期1270-1272,共3页
Chinese Journal of Modern Nursing
基金
江苏省淮安市科技局科技支撑计划（社会发展）基金项目（HAS2009006）
关键词
乳腺肿瘤
生活质量
持续性护理
Breast cancer
Quality of live
Continuous nursing
